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目的:研究近年来剖宫产率发生发展现状及剖宫产各指征变化趋势并分析其原因。方法:回顾性分析1994年1月1日～2001年12月31日住院分娩的11287例产妇的剖宫产率及各剖宫产指征的变化趋势。结果:8年中剖宫产率呈上升趋势(P<0.05);巨大儿因素与胎儿窘迫因素等指征无明显上升或下降趋势(P>0.05),社会因素呈明显上升趋势(P<0.05)。结论:剖宫产率表现为逐年上升并维持较高水平,降低剖宫产率必须严格各项指征,同时注重产前教育及提高产科医生的业务素质。
Objective: To study the status of cesarean section incidence in recent years and the trend of cesarean section indications and analyze the causes. Methods: A retrospective analysis of 11287 maternal in-hospital delivery from January 1, 1994 to December 31, 2001 cesarean section rate and trends of cesarean section indications. Results: The rate of cesarean section increased in 8 years (P <0.05). There was no significant increase or decrease in macrosomia and fetal distress (P> 0.05), and the social factors showed a significant increase (P <0.05 ). Conclusion: The rate of cesarean section increased year by year and maintained a high level. To reduce the rate of cesarean section, the indications must be strictly followed. At the same time, emphasis should be placed on prenatal education and the quality of obstetricians.